The Diagnosis and Management of Hypertensive Disease in Pregnancy

  • Hossam E Fadel Medical College of Georgia, Augusta, GA, USA
Keywords: Pregnancy, hypertensive disorders, chronic hypertensive disease, preeclampsia/eclampsia, superimposed preeclampsia/eclampsia, hyperuricemia, antihypertensives



Hypertensive disorders of pregnancy are responsible for a significant proportion of maternal and perinatal deaths. This group of disorders includes the specific hypertensive disease of pregnancy, preeclampsia/eclampsia and chronic hypertensive disease antedating pregnancy with or without superimposition of preeclampsia/eclampsia. The natural course and management of these 2 distinct entities are different, and therefore every attempt should be made to make the correct diagnosis. The differential diagnosis depends on accurate history and physical examination, as well as biochemical tests, specifically Serum uric add. The treatment of chronic hypertensive disease is outlined with emphasis on the indications for antihypertensive medications, close monitoring of the feto-placental unit, and timing of delivery. The management of the severe cases (hypertensive crisis and/or severe superimposed preeclampsia) is also discussed.

Author Biography

Hossam E Fadel, Medical College of Georgia, Augusta, GA, USA
Clinical professor, Ob/GYN Medical College of Georgia
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